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Clinical importance of change in physical activity after endovascular treatment combined with exercise training in patients with peripheral arterial disease

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Abstract

We aimed to investigate the characteristics of changes in amount of physical activity of patients with peripheral arterial disease (PAD) before/after endovascular treatment (EVT) combined with exercise training. Twenty-two patients with peripheral arterial disease at stage-II of the Fontaine classification who received EVT combined with exercise training were included in this study. A tri-axial accelerometer was used to record physical activity every day from the day before surgery to 3 months after discharge from hospital. The mean number of walking steps before surgery was 2664 steps (611 steps–5404 steps), whereas those after surgery was 3393 (567 steps–7578 steps). Ankle Brachial Index (from 0.69 to 1.03; p < 0.001), maximum walking distance (from 728.2 to 1271.8 m; p < 0.05) and Vascu-QOL (from 98.9 to 137.9; p < 0.01) showed improvement between before and after surgery. Physical activity of patients with PAD was still low at 3 months after surgery even though walking ability, QOL, and self-efficacy were improved after EVT combined with exercise training. Among the 22 patients, the number of walking steps increased in 17 of them and decreased in 5 of them. Compared with the patients in the increased-steps group, those in the decreased-steps group were significantly older (p < 0.05), and had a significantly higher cardiovascular event rate within the first 3 months after surgery (p < 0.05). These results suggested that, not only the improvement of walking ability, but increase in physical activity after EVT combined with exercise training is also important for short-term prognosis.

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Acknowledgments

This work was supported by JSPS KAKENHI Grant Number 26670964.

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Authors and Affiliations

  1. Division of Cardiac Rehabilitation, The Sakakibara Heart Institute of Okayama, Okayama, Japan

    Shota Otsuka, Satoshi Yuguchi, Yu Hojo, Tomohiro Matsuo & Masaharu Nakajima

  2. Department of Rehabilitation, Hyogo University of Health Sciences, Kobe, Japan

    Tomoyuki Morisawa

  3. Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan

    Atsuhisa Ishida

  4. Department of Physical Therapy, School of Health Sciences, Tokyo University of Technology, 5-23-22 Nishikamata, Ohta-ku, Tokyo, Japan

    Tetsuya Takahashi

Authors
  1. Shota Otsuka
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  2. Tomoyuki Morisawa
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  3. Satoshi Yuguchi
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  4. Yu Hojo
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  5. Tomohiro Matsuo
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  6. Masaharu Nakajima
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  7. Atsuhisa Ishida
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  8. Tetsuya Takahashi
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Correspondence to Tetsuya Takahashi.

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Otsuka, S., Morisawa, T., Yuguchi, S. et al. Clinical importance of change in physical activity after endovascular treatment combined with exercise training in patients with peripheral arterial disease. Heart Vessels 32, 143–148 (2017). https://doi.org/10.1007/s00380-016-0856-4

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  • DOI: https://doi.org/10.1007/s00380-016-0856-4

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